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1891132718 NPI number — CONNIE WANG CHAUDHARY M.D.

NPI Number: 1891132718
Health Care Provider/Practitioner: CONNIE WANG CHAUDHARY M.D.

Information about “1891132718” NPI (CONNIE WANG CHAUDHARY M.D.) exists in 1891132718 in HTML format HTML  |  1891132718 in plain Text format TXT  |  1891132718 in PDF (Portable Document Format) PDF  |  1891132718 in an XML format XML  formats.

NPI Number : 1891132718 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891132718",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAUDHARY",
    "FirstName": "CONNIE",
    "MiddleName": "WANG",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WANG",
    "OtherFirstName": "CONNIE",
    "OtherMiddleName": "KANG",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3550 TERRACE STREET A-1305 SCAIFE HALL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15261-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3550 TERRACE STREET A-1305 SCAIFE HALL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15261-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-647-4484",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/01/2013",
    "LastUpdateDate": "08/02/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "D85416",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "65347",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "P28833",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "MD473483",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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